Reflective Writing on Person-Centered Care

This reflective writing explores the understanding and application of person-centered care in future nursing practice using the Roper-Logan-Tierney theory of nursing. It discusses the factors that affect activities of living and the importance of clinical reasoning in providing the best care for patients. The reflection highlights the significance of involving patients in their care decision-making process.

REFLECTIVE WRITING ON PERSON-CENTERED CARE
Name of Student
Institution Affiliation

REFLECTIVE WRITING ON PERSON-CENTERED CARE
1. Description
Person-centered has adopted many definitions over the years. it is referred to as patient-
centered care, mother-centered care, or client-centered care. The above are used differently in
different contexts. This shall as learned and understood from tutorial contents of unit HLSC 139
be used to reflect on the understanding of person-centered in future nursing professional using
Roper–Logan–Tierney theory of nursing (Holland & Jenkins, 2019). The scrutiny for
professional nursing, which is beliefs, values or ethics regarding the patients’ care and treatment,
will be compared with the existing knowledge. A patient is a person who goes to the hospital to
seek care and needs the attention of a healthcare professional. This paper will focus on learning
and understanding of person-centered care using the Gibbs model of learning, and the clinical
reasoning cycle to come up with the most appropriate approach of person-centered care in the
future nursing practice. Roper–Logan–Tierney theory of nursing incorporates some factors
believed to affect Activities of Living (Holland & Jenkins, 2019). They include psychological
factors, which are not only emotional but the ability to understand, spiritual beliefs and cognition
(Capuzzi & Stauffer, 2016). Patients’ psychological factors would include what they know,
believe, feel, hope and think. The other factor, which is essential in this paper according to the
theory, is the sociocultural factor. The sociocultural factor is the experience an individual has in
society and the impacts their culture have on them.
Feelings
Roper–Logan–Tierney theory of nursing was first introduced in the 1980s to the medical
practice and is based on the activities of living. Williams (2017), state that the primary focus of
the model is to be used as a guide during the assessment of patients care in the nursing

profession. With the knowledge, gained it is understand this model informs me that the model
majors on the assessment of the way the patient has been fairing in regards to patients’ stay in
hospital and when they got ill (Holland & Jenkins 2019). Before the introduction to this theory, I
thought when a patient is introduced to a nurse, they nurses' action was the only way to save the
patient.
In contrast, I learn that the process of healing takes time and is dependent on some factors
within and outside the nurse or the patient. For an instant, I learned that sociocultural factors like
expectations and values, individuals' ability to carry out daily activities of living or actual health
or individual health perception, and social status or class might determine the success of the
healthcare given by the nurse. Besides, after learning about clinical reasoning, I understood that
it could help with the understanding and application of the factors affecting ALs identified in the
Roper–Logan–Tierney theory of nursing. I will use Clinical Reasoning as the best method in
passing judgment to collected patients' signs, information gathered, understanding of patients'
medical condition planning and implementing the appropriate therapeutic interventions,
evaluating the outcomes, or learning from the whole process (Bradshaw & Hultquist, 2016). I
have been convinced that person-centred care is the involvement of patients in their care
decision-making to achieve the best results (Schmidt, MacWilliams & Neal-Boylan, 2017). I
realize that both clinical reasoning and RTL both influences activities of living and more
particularly the sociocultural and psychological (Lubarsky et al., 2015).
2. Evaluation
Clinical reasoning and Roper–Logan–Tierney theory of nursing has equipped me with the
knowledge that will enable my practice of person-centred care. It was amazing how the class
presentation of the clinical information would be easy to understand and relate to (Holland &

Jenkins, 2019). My learning experience became enjoyable and positive in my future practice
(Holmboe, Durning & Hawkins, 2017). Roper–Logan–Tierney theory places me in a safe and
blameless situation by understanding that, as a practising nurse there are factors outside my
direct roles which can contribute to how the care I give will or not work. Having discussed with
my classmates both in class discussion and in our typical reflection, we recognize that person-
centred care can provide the most comfortable environment for patients to express their fears as
well as participate in decision making that boost their satisfaction (Capuzzi & Stauffer, 2016). In
my professional the knowledge learned from Roper–Logan–Tierney theory of nursing it will be
essential to apply it during the person-centred care (Holmboe, Durning & Hawkins, 2017). The
knowledge will be useful in assessing the needs of the patient, and their families as well as the
community and apply clinical reasoning to come up with the most appropriate clinical judgment
(Capuzzi & Stauffer, 2016). This knowledge also encourages the patients' involvement in the
decision-making process.
3. Analysis
After the introduction of clinical reasoning in class, a lot of information made sense to my
future career. For instance, medical practitioners can use clinical reasoning to consider the
aspects of patient care, which are through their effort to make an appropriate decision, which
aims at prevention, diagnosing, and treating the patient problems (Schmidt et al., 2017). The
process of clinical reasoning was sensual and very meaningful when planning patient care. The
method includes observing the clients and their symptoms and taking down the notes, making
sure you collect both past and present the client’s medical history (Bradshaw & Hultquist, 2016).
The information collected is processed in the best way to create the most appropriate treatment

plan and after producing the best treatment plan for prevention, diagnosis, or treatment based on
the history on the current client health situation.
The other process is planning it is to decide which treatment plan proves to work better by
consulting experts or associate. After that the evaluation of whether there any change in the
outcome measuring the effectiveness of the care plan and the reflection on the plan to determine
its usability in future and putting it on record (Schmidt et al., 2017). The model of Roper–
Logan–Tierney model of nursing, on the other hand, lacks feasibility in caring for people who
have mental problems.
4. Conclusion
Through my learning experience, I realized that different countries have their own ways of
caring for the patients; I also realized that patients have different needs. Before a health
practitioner provides care to the patients, they should ensure that all factors have been thoroughly
examined. It is common to make a medical error if no proper communication has been done. My
philosophy is derived from that of Hildegard Peplau who believed that nurse-patient relationship
focus is not to the only patient as the unit of attention but the focus of attention too (Henkin et
al., 2016).
Patients should be involved by their caregivers in education about their illness as opposed to
learning themselves. Healthcare practitioners should tell their patients why they have to take
medication so as to avoid them saying that they have just been told by the doctor to take it (Wu
et al., 2017). To better the person-centred care I will combine both the Clinical Reasoning and
Roper–Logan–Tierney model of nursing. I believe the knowledge I gained from this adds to my
experience which brings me close to becoming a registered nurse I have dreamt of.
5. Action plan

I am better prepared for my next semester to be very alert to information regarding my
professional practice. I will always want to use the Roper–Logan–Tierney model of nursing
together with the clinical reasoning to come up with the most useful treatment method. Studies
have also proven to me that many countries are utilizing Roper–Logan–Tierney model of nursing
effectively in person-centred care, which I believe will work for me (Holland & Jenkins, 2019). I
will consider all the factors that affect the activities of learning as a practising medical
professional as they matter in determining the activities of living. Allowing patients’
participation in their care will be very important to ensure they are free and satisfied with the
attention given to them (Bowers & Lemberger, 2016).

References
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Wu, I. H., Bathje, G. J., Kalibatseva, Z., Sung, D., Leong, F. T., & Collins-Eaglin, J. (2017). Stigma,
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